Insight Technology Enabled Care - November 2018 - TEC Scotland
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November 2018 Insight Technology Enabled Care
Young Scot Observatory - Technology Enabled Care
Contents
Introduction 4
Background 5
Co-Design Process 6
A Summary of Key Concepts for 7
Technology Enabled Care
Health & Wellbeing Priorities for Young People 8
Young People’s Use of Digital Technology 9
Building on the Healthier Scotland Key Themes 16
Key Concepts for Technology Enabled Care 20
Next Steps 22
Appendix 1 22
2 3
Young Scot Observatory - Technology Enabled Care
Introduction Background
The Technology Enabled Care Programme commissioned Young Scot to bring young people from across In December 2016, Young Scot’s Healthier Scotland Youth Investigation Team delivered their report on
Scotland together to look at how digital technology could improve young people’s health and wellbeing. “Creating a Healthier Scotland” to the Cabinet Secretary for Health and Sport.
As a generation who have grown up with digital to support young people in the future. These insights This project gave young people the opportunity to explore The Youth Investigation Team created 34 key actions for
technology, young people are well placed to bring their and ideas will hopefully go on to inspire the Technology what really matters to them about health and social care, the Cabinet Secretary and the Scottish Government to
knowledge and experiences to the co-design process, and Enabled Care Programme to develop new solutions which and to make a positive contribution to the shaping of consider, however they didn’t specifically address the role
eager to adopt and integrate digital technology into the will improve the health and wellbeing of young people in policy and service delivery. The Youth Investigation Team digital technology could play in supporting and enabling
ways they access healthcare and health information. Scotland and look into how existing Young Scot services considered the Scottish health system as a whole and these key themes. This provided an opportunity for
This report provides a series of insights into how and why can support this. identified four key themes to be tackled: young people, Young Scot and the Technology Enabled
young people use digital technology, alongside their ideas Care Programme to collaborate to explore how digital
and suggestions for how technology could be used technology can be used to support these themes.
1
Education
change the delivery, structure and
3
content of personal, social and health
education, and physical education in
schools to ensure all young people
are equipped with the knowledge and
tools to live healthy lives.
Relationships with
professionals
health and social care professionals in Scotland
should improve their relationships with young
people through more accessible services
and effective communication.
tools to live healthy lives.
2
Stigma
introduce a zero tolerance system
where young people are equipped with
4
Eating and fitness
the knowledge they need to understand
effectively communicating to young
mental health, wellbeing and the
people how healthy eating and fitness
negative effects that stigma
affects their body and aim to
can have.
encourage healthy lifestyles and
behaviours early.
4 5
Young Scot Observatory - Technology Enabled Care
Co-design Process A Summary of Key Concepts for Technology Enabled Care
Young Scot’s co-design process takes young people through four stages of idea development, explore, The key concepts created at the Ideas Development Session are explored in more detail later in the
create, reflect, and recommend (Appendix 1). To obtain a range of views to inform the final recommendations, report, but this is a brief summary of the ideas.
Young Scot delivered a series of engagement workshops in Edinburgh, Inveraray, Wishaw and then in
Edinburgh again, involving 36 young people from a range of backgrounds, aged between 11 and 23, and
with a variety of health experiences. Augmented Reality App Health & Wellbeing Online Resources
Key issues this is addressing: Lack of exercise, poor Key issues this is addressing: Access to mental health
During these engagement workshops, Young Scot guided Following the engagement workshops, Young Scot brought mental health, social isolation support, reducing stigma around mental health,
the participants through the explore and create stages together a panel of young people from different workshops healthy eating, poor mental health, lack of exercise,
This is an app which allows users to download and
of the co-design process. The young people worked on at an Ideas Development Session. The Ideas Development worry about visiting the doctors, study pressure
apply different augmented reality maps over the
a series of activities to define the most relevant health Session was a chance for the young people to reflect on the street map on their mobile phone to encourage A development of the Young Scot health and
and wellbeing issues for young people, considering how issues and ideas generated at the engagement sessions, users to increase their level of physical activity and wellbeing information platform, the website
different life experiences can impact health and wellbeing. and to evaluate and combine ideas to come up with a explore their community to increase fitness and young.scot, which is tailored specifically for young
They explored the technology they use, why they like number of key concepts and recommendations to pass on improve mental health, with links to Young Scot people and co-designed with them to provide easy
and dislike certain technologies, and what the future of to the Technology Enabled Care programme for further Rewards and ‘Connect Your Tech’ capability. to understand information and guidance on a wide
technology could mean for young people’s health and consideration and development. variety of mental and physical health topics, acting
wellbeing. These explorations led into the create phase as a one-stop-shop for young people.
of the project, with participants across the sessions Digital Doctors Surgery
contributing almost 100 ideas for using digital technology Key issues this is addressing: Worry about visiting the
to support young people’s health and wellbeing. doctors, barriers to healthcare
This is a website which provides multiple functions
to enable easier access to frontline health care,
Kick-off Event Explore Create including comprehensive information on every GP
surgery, online appointment booking, and remote
video appointments.
Mental Health Chat Service
Key issues this is addressing: Access to mental health
support, reducing stigma around mental health
This multi-platform service would provide a digital
live chat service to young people where they could
connect with a mental health professional to talk
about their mental health and receive guidance and
support, potentially building on Young Scot’s Infoline
Panel Reflect & Ideas Gathering service and with input from the Young Scot Youth
Presentation Recommend 2018 Commission on Mental Health.
6 7
Young Scot Observatory - Technology Enabled Care
Health & Wellbeing Priorities for Young People Young People’s Use of Digital Technology
During the engagement workshops, participants were asked to identify the key issues affecting their, and Young people use a wide variety of digital technology in their daily lives for a wide range of purposes.
other young people’s, health and wellbeing. A wide range of topics were covered through this process, It is important to bear in mind throughout this report however, that a significant minority of young people
but the most frequent topics raised by the young people are summarised below. struggle to access digital technology, and many who do have access may struggle with digital literacy.
Across all the workshops, young people identified a greater This is especially noteworthy as those young people who
number of barriers to achieving good mental health, and Physical Health do not have access to technology may also be the most
no-one mentioned barriers to physical fitness specifically Barriers to good physical health were mentioned vulnerable, experiencing homelessness or poverty, and thus
(such as lack of access to sports equipment), which fewer times in total, but most young people did potentially in need of greater mental and physical health
suggests that the underlying reasons behind young people mention one or two issues, including: support that young people in more secure circumstances.
not exercising are more complex.
Not eating healthy food / unhealthy
In this section we will explore what technology young people
snacking habits
are using and for which purposes, what they like and dislike
Mental Health Lack of time to eat better about tech, and how they find out about new tech.
There were a number of key issues raised by almost
Fast food
all of the young people, with a focus by many on peer
relationships (or lack of) and the pressures they are Eating disorders
What tech do young people use? Mobile phone technology
under from various places to look, act or behave in a Alcohol use / abuse When discussing digital technology with young Mobile phones have become an essential part of
certain way. The key issues around mental health Addiction people, the vast majority of technologies used a lot of young people’s daily life. In this section we
raised were: are mobile phone applications (apps). However, in will summarise the ways in which the young people
Smoking
addition to mobile phones and their apps, which will used their phones and the apps on them.
Peer pressure Lack of/disrupted sleep
be discussed below, young people use the following:
Bullying Stress and anxiety
Computers
Loneliness or social isolation Abuse (physical or sexual)
Tablet devices and associated tech
Unsupportive or negative friendships
In addition to the above factors, your people also (e.g. Apple pencil)
Anxiety or social anxiety/shyness
identified some of the larger issues which may Computer games consoles (PlayStation, Xbox)
Pressure from social media contribute to poor physical health, such as poverty, Wearable tech (Apple watches, Fitbits,
Exam stress and pressure to do well at school homelessness, living in a deprived area, and funding sphygmomanometers)
Poor school environment cuts to social services. Video conferencing tech (webcams, speakers,
Lack of support or encouragement Skype, Facetime)
Poor family or home relationships Virtual assistants (Siri, Alexa)
Discrimination Other Factors Smart televisions
The young people also identified barriers which Virtual reality devices
Additional issues that young people cited included could affect both physical and mental health:
Cameras (non-mobile)
concerns about body image, low self-esteem, lack of
Not knowing where or how to get help Drones
confidence, and feeling like people are judging you.
Difficulty getting appointments E-books / E-readers
Misconceptions about what being healthy
is or how to be healthy Computers and table devices, along with mobile
phones, were the most frequently cited technology
Information about and quality of services
used by young people, which is unsurprising given
Lack of training for health professionals
their fundamental necessity for many of the activities
on some topics
young people are involved in (school, college,
university, work, volunteering).
These factors can be seen as primarily about
access to services and information.
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Young Scot Observatory - Technology Enabled Care
Connecting with other people Information
The social connections that digital technology can facilitate between young people and people in the public eye. Some When young people use their mobile phones to access There is another way that young people use information
is one of the most important elements for young people. platforms may also facilitate communication between information, it is largely a function of necessity. They on their phone, most obviously with health related apps,
Connections can be between existing friends and family learners and teachers, colleagues, or young people and might check the bus times or weather before leaving the which is to store and access information about themselves.
members, between members of a digital community, or services they engage with. house, download a boarding pass to an airline’s app, check This could be tracking nutrition, recording running routes,
their bank balance on the go, or find a good deal at their working through a stepped exercise programme, or
Function Examples of apps used by participants favourite online stores. For young people in education, learning how to cope with anxiety.
there are more reasons to seek information on their phone
Private messaging, video calls Skype, iMessage, Facetime, text messaging, Yammer, WhatsApp, Kik, ASKIP, – revision notes, class timetables, learning aids and so on.
Facebook messenger, Discord, Houseparty, Mydol, Tinder, Hangouts
Function Examples of apps used by participants
Social media Snapchat, Twitter, Facebook, Instagram, Pinterest, Letterboxd, Sarahah, tumblr,
Whisper, Amino
Internet browser, search engine, Google, Wikipedia, Bing, Safari, Internet Explorer, BBC, Daily Mail, weather
information point, news
Message boards 4chan, Reddit, Yahoo Answers
Travel, events Bus timetables, Google Maps, Stagecoach, RyanAir, Ticketweb, Ticketmaster
Communication Gmail, phone, MSN
Banking Royal Bank of Scotland, TSB, Apple wallet
Entertainment
Education, work, volunteering Glow, MySQA, Google classroom, LinkedIn, No Fear Shakespeare, BBC Bitesize,
Mobile phones can provide a wealth of entertainment for peers or the internet at large to engage with. Alongside Duke of Edinburgh’s Award, Egenda, Mathletics, Duolingo, Children’s University
young people. Some entertainment is consumption based, mobile gaming, these forms of entertainment are not static e-Passport, Linguascope, Firefly, Showbie, Speak Out
such as watching TV programmes or listening to music, but resources, but platforms to facilitate creativity, connection,
many others are used by young people to actively create and skills development.
images, videos, fiction, reviews, and other content for their
Function Examples of apps used by participants
Film, television, videos YouTube, Viki, Netflix, Amazon Prime, Sky Go, ITV Hub, LUSHxpressions,
NowTV, YouNow
Photography, image manipulation, Instasize, Video Star, iMovie, TikTok, YouTube, camera, ArtGrid, YouNow
video making, drawing
Reading, writing Wattpad, Archive of Our Own, Quotev, notes, Google Docs, Word
Shopping PrettyLittleThing, Missguided, eBay, Just Eat, Amazon, Boohoo, Adidas, J
oom, Lush, Superdrug, Wish
10 11Young Scot Observatory - Technology Enabled Care
What tech do young people What do young people like and
currently use to support their dislike about the technology
health and wellbeing? they use?
In addition to the mobile phone apps related to health and Many young people though, use a variety of technology for Young people at the engagement workshops were asked Usability
wellbeing that young people used, and the fitness related self-management. This includes a wide range of behaviours, to rank the technology they used from their most to least Usability was by far the biggest deciding factor in whether
wearable tech such as Fitbits, young people frequently such as listening to music to relieve stress or improve mood favourite, and then to tell us why they liked or disliked young people liked the technology they used. The many
mentioned that they use other tech to support their health when feeling down, consuming media and playing games to certain pieces of tech. As is reflective of the predominance issues raised under usability indicate that app design needs
and wellbeing. This kind of support can be instructional, keep the mind occupied or distract oneself from feelings of of mobile phone apps in the list of technology young to be well thought out and tested by a young audience
social, or about self-management. anxiety, or writing thoughts and ideas down as a method for people use, many of the issues raised relate to to work through bugs before launch. After launch an app
self-reflection and expression. One young person mentioned mobile apps. needs a dedicated team of staff working behind the scenes
Instructional exercise or workout videos on YouTube that they listen to autonomous sensory meridian response to create seamless updates without changing fundamental
were one of the most popular suggestions here, with (ASMR) videos to help them sleep, and another mentioned The favoured pieces of tech varied from individual to aspects of the app design and keep on top of feedback from
some others pointing to Instagram as a good source of reading on their Kindle as a way to maintain happiness. individual, but three key areas emerged from this activity. users about difficulties, likes and dislikes, and crash reports.
information, inspiration and suggestion for exercise and Finally, some young people talked about using technology
healthy eating. Others sought out instructional videos on that supports time management and organisation, such
topics such as make-up application or hairstyling. Especially as calendars, email, and banking apps. Keeping on top of Factor Positives Negative
for young women, learning and practicing these kinds of responsibilities made them feel less stressed and more able
skills allows them to be more successful in their social of managing their schedules. Usability Fast, attractive design, efficient, Google, Wikipedia, Bing, Safari, Internet
circles, increasing popularity and bolstering social standing reliable, easy to work out how to Explorer, BBC, Daily Mail, weather
and friendships. This kind of skill acquisition therefore use, kept up to date, convenient
plays an important role in supporting mental health and for you when you need it, versatile,
preventing social isolation.
Instructional exercise or workout videos free, accessibility.
on YouTube were one of the most popular
For some, the social networks that tech can support were suggestions here, with some others
more important, with many young people mentioning the pointing to Instagram as a good source of
way that messaging technology and apps like Snapchat allow
information, inspiration and suggestion
you to keep in contact with support networks and ask for
help when needed. For others, access to online communities
for exercise and healthy eating.
based around shared interests was a way of not feeling so
alone and of connecting with people around the world.
12 13Young Scot Observatory - Technology Enabled Care
Usefulness
The next factor which got a lot of feedback was usefulness.
The usefulness of an app reflects whether it serves a How do young people find out
valuable function to users that is genuinely more convenient
about new technology?
that other ways of doing the same thing. Young people were
keen that technology helps them in some way, while also
being wary of apps that can be turned to negative uses in
a way that is detrimental to individuals. This indicates that
thought will need to go in to functions provided by new tech
to determine what is genuinely useful for young people, and
what could make their lives easier. Attention should also be
paid to data collection, with young people increasingly wary
of sharing personal data without good reason or trusted
security measures in place. There were a variety of ways in which young people said The list of avenues through which young people had found
they found out about new technologies, but the most out about tech suggest that they absorb information from
frequently mentioned avenues for hearing of new tech was a wide-variety of sources, and therefore any advertising
Factor Positives Negative through recommendations from friends or peers. This was campaign to promote a new piece of technology should
followed by social media and internet based advertising aim to cover different media and information outlets.
Usefulness Relieves stress, has a functional Can be used negatively (e.g. YikYak), steals (e.g. YouTube adverts) or awareness raising (e.g. through
purpose, learn something with it, your information, doesn’t really have a reviews on other websites).
keep in touch with people, connect point, social media can push negativity and
with people all over the world, save make you unhappy, too much hassle when
and share memories, access to there’s another way of doing things, has Friend recommendations / word-of-mouth
knowledge, help you to relax and incorrect information. Social media (e.g. Facebook, Instagram)
cope with poor mental health, can
express your feelings, help you to Internet adverts
understand class work, record Websites
what you’ve been up to.
Adverts before videos on YouTube
TV adverts
Adverts before movies
Enjoyability Self-initiated search
The final factor that was raised by young people was Through the news
enjoyability. This can link in with good design but is also Reviews
about an app being entertaining or allowing young people
Billboards or posters
to do something novel and fun. Information needs to be
presented in an engaging way, with intuitive design allowing Press conferences
users to navigate in a way that doesn’t frustrate or bore Through using other technologies
them. This indicates that the content and functions of an Class
app could be co-designed by young people so that the Scottish Government
language, style, and design and youth friendly, engaging
Colleagues
and easy to understand and use.
Factor Positives Negative
Enjoyability Funny, entertaining, good variety, Boring, annoying, rage inducing
you can make cool movies/videos
14 15Young Scot Observatory - Technology Enabled Care
Building on the Healthier Scotland Key Themes
In 2016, Young Scot worked with a group of young people to look at the future of health and wellbeing
in Scotland. The young people involved in that project co-designed a series of recommendations Physical Education Awareness Raising and Education
showcased in the “Creating a Healthier Scotland” report published by Young Scot in 2016. Digital technology could support fitness by enabling young Digital tech could be a powerful tool in raising awareness of
people to use things learnt in lessons after school. Suggestions mental health disorders and common symptoms, or a guide
The young people taking part in the Technology Enabled Games for Learning include the ability to add exercises that have been learnt in PE to what language to use to talk about mental health. Tech
Care project built on this work by looking at how they In fact, using games was a big theme across the board, for use at home, logging your physical activity and recording could provide basic, clear, easy-to-access information about
could take the four themes identified in the report in a with young people suggesting using games or quizzes (such personal bests, or a structure personal fitness programme mental health, could teach people how to detect signs of poor
new digital direction. Within each theme, young people as Kahoot!) to find out information in a fun way, to check which encourages planning future learning. Fitness apps could mental health in others and suggest tips and advice on how to
identified a number of topics that technology could learning, and provide tangible benefits from in-game rewards also be incorporated into PE lessons, with teachers supporting support them. Such tech should be available to key figures like
help address: being exchanged for real life rewards. Game playing could people to navigate a new app and learn how to make the teachers to provide them with guidelines on how to promote
replace traditional homework activities, or act as a ‘brain gym’ most of it. School technology such as TV screens and email mental health in class or tackle mental health related bullying
Education – healthy eating, games for learning, style warm-up at the start of lessons. Young people could be bulletins should also be used to raise awareness of local or misinformation.
study support, physical education, mental directly involved in creating such technology, linking up with sports clubs and classes.
health other subject areas at the same time. Greater Availability of Support
Mental Health Many ideas for tackling stigma were about accessing sup-
Stigma – reducing the gender gap, awareness
Study Support Digital tech to support learning about mental health could be port services and supporting self-management, suggesting
raising and education, greater availability of
Digital technology could support independent study with apps deployed in a similar way to those mentioned above, acting that reducing stigma might mean normalising the use of
support, public awareness
for mind-mapping or revision support, and teachers could as a source of information, providing games and knowledge mental health services and growing these services exten-
Relationships with professionals – use digital platforms such as chat rooms to provide support checks, and guiding young people through a programme of sively. Specific ideas include online groups chats to gain
demystifying appointments, accessing services and answer questions, allowing people to study from home. learning. Tech could also be used in school to provide direct support from people with similar experiences, video calls
Eating and fitness - personal tracking and Artificial intelligences could even act as teaching supports, support to students with a digital chat service that students with counsellors or therapists, and the ability to access
support, gamification, access and inspiration, able to offer help with homework and revision, or even used could access privately during moments of need, or perhaps support anonymously - whether one-to-one or in a group
information in class. Virtual Reality devices were another form of tech that using like read aloud technology to allow an anxious student format. For self-management, young people emphasised
These topics are explored in more depth below. could be used as a learning aid to understand the effects of to communicate with a teacher without having to speak. apps that can teach distraction techniques or coping
drugs and alcohol on the body, or to see physical exercises mechanisms, or tech that facilitates self-exploration to
demonstrated by a virtual instructor. Stigma allow young people to gain insight into their thoughts
Education For the reducing stigma theme, there were two main and emotions.
Many of the ideas that came out of the education theme More generally, tablet devices could be used during class areas that young people made suggestions about, one was
revolved around using digital technology as teaching aids, to provide access to useful tools, and young people should widening access to services and the other was promotion Public Awareness
especially in a way that encouraged young people to use the be allowed to type instead of writing by hand, especially of mental health. Young Scot and the Scottish Association It noted by a few young people that the general public
tech at home as well as at school. during exams. This was one aspect of a desire for educational for Mental Health (SAMH) are currently supporting a Youth also need to be targeted when taking measures to reduce
experiences that utilised interactive technology more, Commission on Mental Health whose findings, when stigma. Any of the tech that serves to educate and raise
Healthy Eating such as using digital voting or surveys to hear from young published, will further illuminate this topic and provide a awareness needs to be rolled out to adults across society,
Young people suggested some simple idea like emailing people anonymously about topics like mental health or wealth of ideas for consideration. and that partnerships with the media can be forged to raise
healthy food recipes to students and parents, or working healthy behaviours. The results of such a survey could spark awareness too. There may be different challenges in
through video tutorials in food technology classes and sharing interesting discussions and allow educators to target gaps Reducing the Gender Gap changing the perceptions of the general public, so work
these for use at home. Other suggestions included tech to in people’s knowledge. Multiple people suggested that digital services should make should be done with different populations to look at the
assist young people to plan healthy meals on a budget, a diary more of an effort to promote or tailor themselves to boys and messages and information that would appeal to them.
like feature for recording meals, and games to match foods up young men. There was wide acknowledgement that boys and
with food groups or learn about labelling. young men have greater difficulty expressing their emotions
and seeking help, and that this translates into a higher suicide
rate. Apps and services that are targeted at boys and young
men, and co-designed with them, could be one way to
tackle this issue.
16 17Young Scot Observatory - Technology Enabled Care
Relationships with professionals Eating and fitness
When it came to relationships with professionals, the main Demystifying Appointments Encouraging healthy eating and fitness is a complex task, Access and Inspiration
concern was making it easier to access services and getting For some, attending an appointment with a health but young people have identified a number of ways that Digital technology could enable those who want to exercise
professionals to embrace the channels of communication professional can be a cause of anxiety of uncertainty, so technology could help motivate people to work better at it. to find sports clubs or fitness classes using an interactive
that young people use. suggestions were made to use digital tech to raise awareness map or by making recommendations based on personal
of what happens when someone seeks help and support. Personal Tracking and Support interest. For a cheaper option, digital tech could support
Accessing Services This could include descriptions of different health services, For both fitness and healthy eating, young people a multimedia home workout programme, providing free
For many young people, being able to chat to professionals how referrals work, what an appointment will be like, what emphasised the ability of digital technology to be tailored videos, podcasts, tutorials, and voice guidance for different
via instant messaging or video conferencing software would you will be asked about, what confidentiality policies health to the individual. A fitness app could build up fitness at your exercises. Having famous sports or fitness people promoting
be incredibly useful, and there was some call for being able to professionals abide by, and so on. pace, keep track of your activity, and help set achievable exercises or activities can act as inspiration for people
access digital support services like group chats and one-to- goals for the future. Similarly, for health eating a diary-like to get active, and digital tech could offer a platform for
one’s anonymously. Online chat services were a popular idea There was a desire by young people to know the health tracker could let young people record what they’re eating, collaboration with individuals like this.
for accessing mental health support workers as well as GPs. professional they would be seeing ahead of a meeting, so they make suggestions for ways to improve diet, and suggest
Young people wanted some digital support services to be feel prepared and comfortable. Digital tech could facilitate an healthy recipes or ways to plan a balanced meal. Information
available on demand, especially for crisis help, but also for less introductory meeting or conversation, or provide information Healthy eating can be a confusing topic and digital tech
urgent things like booking an appointment. In general, young about staff at a health centre, so that the person they will Gamification could tell you what food or meals are healthy and allow you
people wanted health professionals to communicate with see is not a stranger. This could even be a group chat online Young people wanted to make fitness more fun by to scan barcodes to find out the nutritional value of food
them on platforms young people already use, and for these ahead of a one-to-one appointment. Another benefit of this incorporating games and rewards into activities. People you are buying. Misleading or conflicting information about
platforms to be accessible, for example using Talking Mat kind of intervention is to reassure young people that health could receive virtual or real-life rewards for achieving things like sugar or popular diets can be tackled via tech to
software to enable people to communicate using professionals will be familiar with the issues young people goals, they could be presented with new and fun fitness enable young people to make better decisions about their
pictures instead of words. face and that they will receive appropriate care from challenges to work on by themselves or with friends and food. A number of young people brought up so called ‘pro-
a supportive and understanding source. family, potentially tapping into trends such as the ‘Bring ana’ (pro-anorexia) websites that promote eating disorders
Sally Up’ workout challenge popular on YouTube. and wanted reliable information to raise awareness of the
dangers of disordered eating.
Fitness challenges could take people out of the house, with
young people drawing inspiration from the augmented Tech could also provide information about cheap food,
reality game ‘Pokémon Go’ to suggest a game where people where to buy cheap ingredients, and recipes for making
move around their outdoor environment to find rewards. healthy meals on a low budget. Whatever the topic, young
Games like this could take on a social dimension with people emphasised that the way information is presented
competitions or even collaborations to unlock certain goals. needs to be engaging and interactive to a younger audience.
Fitbits or smart watches could be linked up to this game to
enable people to track their movements and activity.
18 19Young Scot Observatory - Technology Enabled Care
Key Concepts for Technology Enabled Care
Following the engagement workshops and armed with the information in the previous section, a final Mental Health Chat Service Health & Wellbeing Online Resources
‘Ideas Development Session’ was run with young people. During this session the young people examined Key issues this is addressing: Access to mental health Key issues this is addressing: Access to mental health
the issues that had been raised, evaluated all the ideas from the engagement sessions, and decided on a support, reducing stigma around mental health support, reducing stigma around mental health, healthy
final set of key concepts to present in this report. eating, poor mental health, lack of exercise, worry about
This multi-platform service would provide a digital live visiting the doctors, study pressure
chat service to young people where they could connect
Augmented Reality App Digital Doctors Surgery with a mental health professional to talk about their Young Scot’s website, http://young.scot, is Scotland’s
Key issues this is addressing: Lack of exercise, Key issues this is addressing: Worry about visiting the mental health and receive guidance and support. This online youth information platform and is tailored for young
poor mental health, social isolation doctors, barriers to healthcare service would run from 9am-9pm to be accessible when people and to provide easy to understand information
young people need it. By providing preventative support and guidance on a wide variety of topics, including mental
This is an app which allows users to download and This is a website which provides multiple functions to and a listening ear, this service could reduce the waiting and physical health. The Young Scot website is the perfect
apply different augmented reality maps over the enable easier access to frontline health care. The website list for Child and Adolescent Mental Health Services and platform for such an online resource to be developed and
street map on their mobile phone to encourage users would provide comprehensive information on every GP help many young people to avoid reaching a crisis point. co-designed with young people, and content can be co-
to increase their level of physical activity. The app surgery including details about the doctors professional This service would be promoted to all young people created with different organisations to develop a knowledge
could also support mental wellbeing, not only through experience, any specialities they have and perhaps a via school and other avenues, and Young Scot’s Infoline base and key signposting information. Using the existing
getting people out of the house but also by providing a blurb about them. This will enable young people to find resource The Lowdown, available at https://young.scot/get-
advice service could be developed in alignment with
distraction for people who are experiencing a particular out more about who they will be seeing ahead of time, the-lowdown/, and the expertise of the Young Scot team,
NHS services to deliver such a platform.
low. The app could incorporate music related to your allow them to pick a doctor best suited to their needs, health and wellbeing content can be provided in a range
current mood, incorporate gamification aspects (e.g. and reduce anxiety about walking into a GP appointment of formats and targeted to different key groups of young
In addition to the ‘service on demand’ nature of this
people. The Young Scot app in particular, currently
‘Zombies, Run!’ app) to increase use, and a implement without knowing who they will be seeing. Other health platform, the digital format would allow young people to
in development, will further enhance the reach and
rewards system for achieving goals potentially linked to professionals operating out of the surgery would also be speak to someone without having to talk on the phone,
usability of the Young Scot information platform.
the Young Scot card. Young Scot users can currently take included in this package of information. and to do so in private from any location. Not having to
part in a programme called ‘Connect Your Tech’ which physically attend an appointment or call on the phone The Young Scot website would act as a one-stop-shop
allows them to sync their wearable fitness devices In addition, there would be two key functional elements can reduce anxiety and to address their mental health for young people, signposting them to useful apps, NHS
or mobile phone apps to the Young Scot Rewards to this web service; booking online appointments, and in a physical location that they are comfortable in. To services, third sector organisations, Local Authority
programme. Young Scot Discounts could also play a remote video appointments. The online booking service be useful to those young people without wi-fi or data services, or even opportunity providers. The platform
part in such a service, making young people aware of would allow people to see the availability of appointments on their phone, an offline service provided by a pre- would demystify services, explaining how to access them,
discounts on goods or services near them which could and self-select a time that is convenient for them. As well programmed AI could offer tips, advice and signposting. how long you might have to wait, what your rights are
support their health and wellbeing. as increasing efficiency, the online booking system will around confidentiality and service standards, and what
also be easier for young people to navigate as many dislike Young Scot and SAMH’s Youth Commission on Mental to expect when you get there.
Different augmented reality maps could be coordinated speaking on the phone and don’t have the flexibility or Health are currently exploring mental health service
between different services and organisations, for time to make an appointment in person. provision in depth and their recommendations and In addition to basic information explaining different health
example See Me, VisitScotland, Google Maps, Local proposed actions will provide a key source of information conditions and options for support, the platform would also
Authorities, and sports and fitness providers. Users Remote video appointments would be conducted by for developing digital mental health services. The Youth provide information on healthy lifestyles as a preventative
could follow art trails around their local area, discover a doctor and/or nurse specifically scheduled to be Commission’s report should be available in early 2019 for measure. This could incorporate easy-to understand
playlists or reading lists related to places they are dealing with online appointments in a consulting room analysis and further action. information about healthy eating and fitness, in-built
visiting, find out about local history, discover nature at the surgery. They would work regular practice hours, games (e.g. to learn about food groups, food labelling,
walks or outdoor gym equipment, and much more. potentially with an after hours on call service, or a regular This service could work to address a variety of specific quick exercises), tracking or diary functions (to keep track
A social aspect could be introduced to encourage after hours service. Video appointments would enable issues in addition to its basic functionality, including of things like what you eat, fitness or mood), and tailored
people to work together or share their achievements. people to access health care without travelling to their tailored support for young men, rehabilitation support recommendations for healthy recipes, local sports facilities,
surgery in person, which can be difficult if you do not have for people recovering from addiction, and a focus on or even meal budgeting.
access to convenient personal or public transport, would accessibility (e.g. using emojis or pictures to start a
find it hard to get to the surgery within opening hours, conversation about mood or feelings). This platform would be interactive and reactive,
or would have to miss large chunks of school or work in responding to current issues such as exam stress,
order to attend. The digital service would be framed as an eating disorders, self-harm, or diet fads. As a trusted
‘initial consultation’ or only for specific health problems, source of advice and information, young people
would be informed and given the tools to manage
as the importance of a physical examination is obviously
an array of health and wellbeing needs.
fundamental for some ailments.
20 21Next Steps
Following on from the potential solutions to supporting young people’s health and wellbeing in
Scotland outlined above by the Technology Enabled Care project participants, it would be valuable for
the Technology Enabled Care Programme to consider taking a selection of these ideas forward to a
developmental stage.
In line with the Technology Enable Care Programme’s belief
that technology become integrated into health and care
services, the ideas outlined above provide a jumping off point
for future collaborations between young people, industry
experts, designers, and healthcare providers. Where there
are ideas to build upon Young Scot’s existing services, Young
Scot would be willing to discuss these and explore future
opportunities.
Appendix 1
Young Scot has extensive experience in engaging with Scotland’s young people to seek their views
and input in the development of the services they use. Young people have a significant role to play in
encouraging organisations and communities to adopt a more collaborative culture, focusing resources
to effectively meet the needs of individuals and communities.
Our co-design service involves young people systematically
creating, designing and delivering solutions in collaboration Explore
Define by uncovering the issues through
with organisations. Young people are involved much earlier in gathering insights and genuine experiences
decision making process through a highly participative approach from/by young people
developing informed insights, ideas, recommendations and
solutions for policy and practice.
Create
Generate ideas and co-produce solutions
Supporting people to co-design ideas has been shown to have a with/by young people
radical impact on service innovation. We know using a co-design
approach enables a more distributed, decentralised approach
to innovation that supports Scotland’s ambitions to cede power Reflect
Consider the future impact and sustainability
and responsibility directly to young people.
of the ideas produced
This approach ties into key policy areas including:
Recommend
Produce influential ideas/solutions
United Nations Conventions on the with young people
Rights of the Child
Public Service Reform/Christie Commission
Community Empowerment Act Implement
Implementation of ideas/solutions
Getting It Right for Every Child with young people
22getin
touch
Visit us on the web at youngscot.net
Call us on 0131 313 2488
Email us at info@young.scot
Tweet us @youngscot
Like us at facebook.com/YoungScot
Follow us on Snapchat at youngscotsnaps
Follow us on Instagram at youngscot
Watchyoung.scot/YouTube
Young Scot Enterprise is a Scottish registered charity (SC029757) and is a
company limited by guarantee (202687) with its registered office at:
Rosebery House, 9 Haymarket Terrace, Edinburgh, EH12 5EZYou can also read
